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Health Insurance

Anthem to Acquire FL Medicare Advantage Organization HealthSun

September 21, 2017 - Anthem entered into an agreement to acquire Florida-based HealthSun, a payer and integrated health system that provides care and coverage to 40,000 Medicare Advantage beneficiaries, the payer announced in a press release.   Leaders at Anthem see the acquisition of HealthSun as a prime opportunity to further expand their care networks, since HealthSun is one of the fastest growing health...


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Veterans Gained Coverage under ACA, but May Lose Big from Repeal

by Thomas Beaton

While the Affordable Care Act (ACA) produced significant coverage gains for veterans, currently proposed repeal actions could hit this population particularly hard, according to a study from RAND Corporation. Prior to the ACA, 9.1 percent of...

Narrow Provider Networks are 16% Cheaper for ACA Plans

by Thomas Beaton

Economists from Harvard Business School and Northeastern University found individual ACA silver plans with narrow provider networks were 16 percent cheaper for consumers and offer payers a promising savings opportunity in the commercial market....

Governors Propose Health Insurance Market Stabilization Plan

by Thomas Beaton

Eight state governors have outlined their proposals for a health insurance market stabilization plan that would control premium increases and improve competition in the federal and state health insurance exchanges. In a letter sent to Congress,...

Latest Earnings Reports Show State of Health Payers in 2017

by Thomas Beaton

At the half-year mark, payers have a good sense of how well their efforts to promote value-based care have fared and the opportunity to make the necessary adjusts where they have not. As part of the business-facing side of value-based care, payers...

Effective Steps for Health Insurance Marketing, Consumer Engagement

by Thomas Beaton

Creating and deploying effective health insurance marketing and consumer engagement plans can be difficult for payers in today’s complex purchasing landscape.   Payers must focus on building strong brands, clear messaging, and effective...

How Can Health Savings Accounts Help, Hinder Patients and Payers?

by Thomas Beaton

Health savings accounts (HSAs) have been widely discussed as lawmakers consider policy reforms, at the federal level, and have become a fixture in conversations about healthcare spending among payers and patients alike.   HSAs are consumer...

What to Look for in Health Insurance Enrollment Technology

by Thomas Beaton

Health insurance enrollment technology is designed to offer payers convenience, cost savings, and administrative ease-of-mind when it comes managing beneficiaries enrolled in health plans. Many Americans face challenges when seeking new health...

AHA to CMS: Continue Funding ACA Cost-Sharing Reductions

by Thomas Beaton

CMS should continue to fund the cost-sharing reductions (CSRs) that keep the Affordable Care Act insurance marketplaces relatively stable, the American Hospital Association (AHA) said in a comment letter. AHA asserts that should the government...

BCBS of Louisiana Offers Online Consumer Price Comparison Portal

by Thomas Beaton

In an effort to improve transparency and customer engagement, Blue Cross Blue Shield (BCBS) of Louisiana launched an online consumer price comparison portal. The portal, called SmartShopper, allows any BCBS  customer in Louisiana to compare...

Member Engagement for Payers Should Focus on Simplicity

by Jesse Migneault

For payers, an effective member engagement strategy can lead to better member health, lower claims cost, and improved product loyalty.  To achieve these goals, payers should start by identifying pain points and implementing processes that...

Narrow Insurance Networks Can Limit Options for Cancer Care

by Jesse Migneault

Cancer patients may have limited access to top-tier healthcare options if enrolled in narrow insurance networks, according to a study from the Perelman School of Medicine at the University of Pennsylvania.  Policymakers and payers have a...

Kaiser Permanente Health Plan Falls Short on Behavioral Health

by Jesse Migneault

Kaiser Permanente’s health plan does not adequately ensure that patients can access behavioral health services in a timely and effective manner, says the California Department of Managed Health Care after a routine survey.  The report...

Healthcare Payers See Promise in Private Exchange Successes

by Jesse Migneault

Private exchanges have grown in significance as a means for payers to get their products before employers, and their growth has resulted in increasing the number of health plan options for employees and beneficiaries. Additionally, the expanded...

Employees Like Wellness Programs, But Don’t Use Them Much

by Jesse Migneault

As employers and payers move towards a more engaged preventive health environment, the use of workplace wellness programs have increased across the nation, according to results from a UnitedHealthcare Consumer Sentiment Survey. Today, nearly...

4 Ways Payers Can Stay Competitive with Medicare Advantage Plans

by Jesse Migneault

With an aging population and soaring healthcare costs, the public interest in Medicare Advantage (MA) plans has been steadily increasing.   As the marketplace becomes crowded with plan options and insurers, payers must understand how...

Retail Clinics Offer Member Satisfaction, Savings for Payers

by Jesse Migneault

At a time when many individual private and employer-based health plans include higher deductibles, retail clinics are becoming a popular option for beneficiaries seeking high quality care at a lower price point. Payer partnerships with these...

Employers See Consumer Directed Healthcare as the Future

by Jesse Migneault

With the continuing rise in healthcare costs, employers are looking to alternatives such as CDH plans to cut premium costs and increase employee's’ financial responsibility for their healthcare spending.  CDHs are an employer health...

AMA, AHA Call for Stronger Patient Insurance Protections

by Jesse Migneault

The American Medical Association (AMA) has joined seven prominent health industry groups in calling for the Senate to address patient protection concerns regarding health insurance coverage.  The move by eight of the nation’s leading...

Cigna, CVS MinuteClinics Partner for Expanded Healthcare Access

by Jesse Migneault

Cigna and CVS Health have partnered to launch Cigna Health Works for expanded healthcare access for the payers employer-based health plan members.  The launch is currently limited to certain markets only. Cigna Health Works will align members...

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